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Relapse is often observed even after successful ECT, followed by adequate pharmaceutical treatment for MDD. ", "subitem_description_type": "Abstract"}, {"subitem_description": "AIM:\nTo investigate the diagnostic factors and treatment strategies associated with depression relapse.", "subitem_description_type": "Abstract"}, {"subitem_description": "METHODS:\nWe analyzed the relationships between relapse, the diagnostic change from MDD to bipolar disorder (BP), and treatment after the initial ECT. We performed a 3-year retrospective study of the prognoses of 85 patients of the Shiga University of Medical Science Hospital. The relative risk of relapse of depressive symptoms was calculated based on the diagnostic change from MDD to BP. A receiver operating characteristic (ROC) curve was generated to evaluate the predictive accuracy of diagnostic changes from MDD to BP based on the duration between the first course of ECT and the relapse of depressive symptoms.", "subitem_description_type": "Abstract"}, {"subitem_description": "RESULTS:\nEighty-five patients initially diagnosed with MDD and successfully treated with ECT were enrolled in the study. Compared with the MDD participants, more BP patients experienced relapses and required continuation and/or maintenance ECT to maintain remission (65.6% vs 15.1%, P \u003c 0.001; relative risk = 4.35, 95%CI: 2.19-8.63, P \u003c 0.001). Twenty-nine patients experienced relapses during the three-year follow-up. In 21 (72.4%, 21/29) patients with relapse, the diagnosis was changed from MDD to BP. The duration from the first course of ECT to relapse was shorter for the BP patients than for the MDD patients (9.63 ± 10.4 mo vs 3.38 ± 3.77 mo, P = 0.022); for most patients, the interval was less than one month. The relative risk of depressive symptoms based on diagnostic changes was 4.35 (95% confidence interval: 2.19–8.63, P \u003c 0.001), and the area under the ROC curve for detecting diagnostic changes based on relapse duration was 0.756 (95%CI: 0.562-0.895, P = 0.007).", "subitem_description_type": "Abstract"}, {"subitem_description": "CONCLUSION:\nIt may be beneficial to suspect BP and change the treatment strategy from MDD to BP for patients experiencing an early relapse.", "subitem_description_type": "Abstract"}]}, "item_4_description_42": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"subitem_description": "Journal Article", "subitem_description_type": "Other"}]}, "item_4_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Baishideng Publishing Group Inc. 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Factors causing a relapse of major depressive disorders following successful electroconvulsive therapy : A retrospective cohort study
http://hdl.handle.net/10422/00013295
http://hdl.handle.net/10422/000132956d31387d-0b57-4288-a1bb-e324beb34fba
名前 / ファイル | ライセンス | アクション |
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This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||
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公開日 | 2022-05-17 | |||||||||||
タイトル | ||||||||||||
タイトル | Factors causing a relapse of major depressive disorders following successful electroconvulsive therapy : A retrospective cohort study | |||||||||||
言語 | ||||||||||||
言語 | eng | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Electroconvulsive therapy | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Major depressive disorder | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Bipolar disorder | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Antidepressant | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Prognosis | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Relapse | |||||||||||
資源タイプ | ||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
資源タイプ | journal article | |||||||||||
著者 |
KURIMOTO, Naoki
× KURIMOTO, Naoki× INAGAKI, Takahiko× AOKI, Takashi× 角谷, 寛
WEKO
6474
× KURIMOTO, Fujiki× KURIYAMA, Kenichi× YAMADA, Naoto× OZEKI, Yuji |
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著者別名 |
栗本, 直樹
× 栗本, 直樹× 稲垣, 貴彦× 青木, 崇× 角谷, 寛
WEKO
6474
× 栗山, 健一× 山田, 尚登× 尾関, 裕二 |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | BACKGROUND: Electroconvulsive therapy (ECT) is used to treat major depressive disorder (MDD). Relapse is often observed even after successful ECT, followed by adequate pharmaceutical treatment for MDD. |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | AIM: To investigate the diagnostic factors and treatment strategies associated with depression relapse. |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | METHODS: We analyzed the relationships between relapse, the diagnostic change from MDD to bipolar disorder (BP), and treatment after the initial ECT. We performed a 3-year retrospective study of the prognoses of 85 patients of the Shiga University of Medical Science Hospital. The relative risk of relapse of depressive symptoms was calculated based on the diagnostic change from MDD to BP. A receiver operating characteristic (ROC) curve was generated to evaluate the predictive accuracy of diagnostic changes from MDD to BP based on the duration between the first course of ECT and the relapse of depressive symptoms. |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | RESULTS: Eighty-five patients initially diagnosed with MDD and successfully treated with ECT were enrolled in the study. Compared with the MDD participants, more BP patients experienced relapses and required continuation and/or maintenance ECT to maintain remission (65.6% vs 15.1%, P < 0.001; relative risk = 4.35, 95%CI: 2.19-8.63, P < 0.001). Twenty-nine patients experienced relapses during the three-year follow-up. In 21 (72.4%, 21/29) patients with relapse, the diagnosis was changed from MDD to BP. The duration from the first course of ECT to relapse was shorter for the BP patients than for the MDD patients (9.63 ± 10.4 mo vs 3.38 ± 3.77 mo, P = 0.022); for most patients, the interval was less than one month. The relative risk of depressive symptoms based on diagnostic changes was 4.35 (95% confidence interval: 2.19–8.63, P < 0.001), and the area under the ROC curve for detecting diagnostic changes based on relapse duration was 0.756 (95%CI: 0.562-0.895, P = 0.007). |
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | CONCLUSION: It may be beneficial to suspect BP and change the treatment strategy from MDD to BP for patients experiencing an early relapse. |
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書誌情報 |
en : World journal of psychiatry 巻 11, 号 10, p. 841-853, 発行日 2021-10-19 |
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出版者 | ||||||||||||
出版者 | Baishideng Publishing Group Inc. | |||||||||||
ISSN | ||||||||||||
収録物識別子タイプ | ISSN | |||||||||||
収録物識別子 | 2220-3206 | |||||||||||
PMID | ||||||||||||
関連タイプ | isIdenticalTo | |||||||||||
識別子タイプ | PMID | |||||||||||
関連識別子 | 34733646 | |||||||||||
PMCID | ||||||||||||
識別子タイプ | URI | |||||||||||
関連識別子 | http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8546764/ | |||||||||||
関連名称 | PMC8546764 | |||||||||||
DOI | ||||||||||||
関連タイプ | isIdenticalTo | |||||||||||
識別子タイプ | DOI | |||||||||||
関連識別子 | https://doi.org/10.5498/wjp.v11.i10.841 | |||||||||||
関連名称 | 10.5498/wjp.v11.i10.841 | |||||||||||
権利 | ||||||||||||
権利情報 | ©The Author(s) 2021. | |||||||||||
フォーマット | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | ||||||||||||
著者版フラグ | ||||||||||||
出版タイプ | VoR | |||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
資源タイプ | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | Journal Article |